Senior VP of Field Accounting and Managed Care

SUMMARY OF POSITION FUNCTIONS

Provides leadership and guidance to all American Senior Communities entities as related to Business Office functions and cash flow.

Maintains the cash flow, oversees collections, validates all state, federal, local, and American Sr.

Communities procedures are being followed.

This position will also oversee the Managed Care Team -who provides Prior Authorizations to the Field, along with doing all paperwork to maintain our 3^rd party payer’s enrollment & updates (Medicaid, Medicare & Insurance contracts) and keeping our System for Award Management (SAMs) updated that is required for our VA/VCA contracts. 

ESSENTIAL POSITION FUNCTIONS


* Assists ASC Regional Team for each property to ensure all accounts are in the correct collection phase this includes working with Business Office personnel and facility leaders to ensure all accounts will be collected.


* Assists with Accounts Receivable and Delinquent Reports evaluation.


* Assists and provides on-going training for all Business Office personnel on their job duties including Kronos, Ulti, Matrix, CORE MMIS, Medicare software & Ascend.

Along with Data Serv, accruals, and various Insurance portals.


* Maintains knowledge of Industry compliance to ensure all properties follow the state, federal, and local guidelines as it relates to resident and employee matters.


* Provides continual training to the Regional Team & ASC Properties on changes happening in the industry.


* Participates in administrative staff meetings.


* Participates in Industry updates to maintain current knowledge of Skilled Nursing Facility requirements including any State, Third Parties, and property specific information.


* Establishes relationship with FSSA personnel, Medicaid Personnel & Insurance leaders & their provider support personnel to ensure they understand our needs.


* Actively participates in our association (IHCA) & their sub committees.


* Works closely with Compliance Team -to ensure expectations are met.


* Provides back-up for ASC Regional Team & Sr VP of Field Accounting as needed.


* Completes Industry audits and compliance issues: dealing with government entities and programs mandating a significant number of audits, reviews, and annual compliance issues, including assistance with Cost Report preparation, annual surveys, ES audits, Myres & Stauffer audits, and additional accounting firm reviews.


* Conducts financial reviews for compliance & accuracy.

Works with Accounting and Finance department on all receivable and revenue related matters.


* Reviews all contracts prior to property or Home Office approval to ensure compliance regulations are met.

Reviews rates, terms and obligations to ensure property and industry compliance including insurance and service providers.


* Oversees collections of all Third Party receivables and private pay for all ASC entities.


* Validates all resident and employee files are ...